![IntraMed](data:image/svg+xml,<?xml version="1.0" encoding="UTF-8"?>%0A<svg id="Capa_1" xmlns="http://www.w3.org/2000/svg" version="1.1" viewBox="0 0 1080 315">%0A <defs>%0A <style>%0A .st0 {%0A fill-rule: evenodd;%0A }%0A%0A .st0, .st1 {%0A fill: %23002bc7;%0A }%0A%0A .st2 {%0A fill: %23fff;%0A }%0A </style>%0A </defs>%0A <g>%0A <circle class="st2" cx="141.5" cy="179.93" r="135.02"/>%0A <g>%0A <path class="st2" d="M350.28,126.97v106.62c0,7-4.04,11.22-10.41,11.22s-10.5-4.22-10.5-11.22v-106.62c0-7,4.13-11.22,10.5-11.22s10.41,4.22,10.41,11.22Z"/>%0A <path class="st2" d="M459.96,184.86v49.09c0,6.82-4.04,10.86-10.23,10.86s-10.14-4.04-10.14-10.86v-47.03c0-13.28-6.73-20.28-20.73-20.28-7.81,0-15.53,2.15-20.19,4.85v62.47c0,6.82-4.04,10.86-10.23,10.86s-10.14-4.04-10.14-10.86v-66.68c0-6.37,1.35-9.24,7.09-12.21,5.38-3.14,18.49-8.17,33.48-8.17,26.66,0,41.11,14.36,41.11,37.96Z"/>%0A <path class="st2" d="M505.83,137.92v10.68h24.14c7,0,10.59,3.59,10.59,9.42s-3.59,9.33-10.59,9.33h-24.14v45.05c0,9.78,3.86,14.09,12.74,14.09,4.76,0,8.08-1.08,10.77-1.98,2.15-.72,3.95-1.52,6.28-1.52,4.58,0,8.44,3.77,8.44,9.06s-3.14,8.08-7.99,9.96c-5.21,1.97-11.76,3.59-18.76,3.59-19.03,0-31.86-10.86-31.86-31.23v-76.47c0-6.82,3.95-10.77,10.14-10.77s10.23,3.95,10.23,10.77Z"/>%0A <path class="st2" d="M559.96,233.95v-55.73c0-19.3,11.76-31.32,30.69-31.32,6.01,0,11.22.72,15.17,1.89,5.83,1.61,9.87,4.67,9.87,10.32,0,6.28-4.22,9.87-8.44,9.87-1.97,0-3.41-.36-4.85-.72-3.05-.81-5.92-1.26-9.69-1.26-8.44,0-12.39,4.04-12.39,12.39v54.57c0,6.82-3.95,10.86-10.14,10.86s-10.23-4.04-10.23-10.86Z"/>%0A <path class="st2" d="M624.04,214.83c0-15.08,11.76-28.9,36.08-28.9,7.81,0,14.72.99,22.89,3.14v-7.45c0-10.86-5.74-16.25-20.28-16.25-6.37,0-12.74,1.62-16.69,3.23-2.69.99-5.21,1.88-7.45,1.88-4.76,0-8.53-3.68-8.62-8.71,0-4.22,2.24-7.54,7.81-9.69,6.19-2.6,15.8-5.21,26.48-5.21,24.5,0,38.41,11.04,38.41,35.27v46.13c0,3.68-.99,5.56-3.77,7.45-5.65,3.86-19.57,9.87-37.87,9.87-23.78,0-36.98-13.37-36.98-30.78ZM662.73,228.84c7.27,0,14.81-2.06,20.28-4.94v-20.19c-7.45-2.24-13.55-3.23-20.37-3.23-12.83,0-19.21,6.28-19.21,14.36,0,8.89,7.54,14,19.3,14Z"/>%0A <path class="st2" d="M724.12,235.12c0-.81.09-2.06.18-2.78l13.73-96.57c2.15-15.17,9.51-20.01,20.1-20.01,9.51,0,16.78,3.95,19.66,19.12l18.4,85.71c.45,1.62.72,2.33,1.98,2.33,1.35,0,1.7-.72,2.06-2.42l18.31-85.62c2.87-15.17,10.05-19.12,19.57-19.12,10.68,0,17.95,4.85,20.01,20.1l13.73,96.03c.18,1.44.27,2.24.27,3.32,0,5.84-3.95,9.6-9.69,9.6-6.55,0-10.14-3.5-10.86-10.05l-12.12-94.86c-.27-1.89-.72-2.51-1.88-2.51-.99,0-1.53.45-1.88,2.15l-19.57,88.22c-2.42,11.58-8.53,17.05-18.13,17.05-10.23,0-15.71-5.57-18.22-17.14l-19.48-88.04c-.45-1.62-.99-2.24-1.79-2.24-1.17,0-1.71.72-1.97,2.6l-11.85,94.78c-.81,6.64-4.31,10.05-10.41,10.05s-10.14-3.59-10.14-9.69Z"/>%0A <path class="st2" d="M891.08,208.91c-.63-6.73-.63-17.68-.09-23.96,2.06-22.17,18.04-37.87,42.18-37.87s39.67,16.06,39.67,39.67v5.3c0,9.87-1.97,11.31-10.86,11.31h-51.88c0,1.26,0,2.6.09,3.86.72,12.03,9.96,20.01,24.32,20.01,7.9,0,13.91-1.71,18.85-3.68,2.96-1.08,4.85-2.06,7.45-2.06,4.85,0,8.44,3.14,8.44,8.44.09,5.12-3.77,8.08-7.54,9.78-6.91,3.32-16.78,5.92-27.64,5.92-24.5,0-41.01-15.08-42.99-36.71ZM954,188.81c1.26-15.44-7.81-24.32-21.45-24.32s-21.54,8.98-22.35,22.08c0,.72-.09,1.53-.09,2.24h43.89Z"/>%0A <path class="st2" d="M1074.18,125.17v102.85c0,3.95-1.08,5.92-3.86,7.81-5.83,3.86-20.1,9.78-37.16,9.78-23.87,0-39.22-14.81-41.19-36.17-.72-7.27-.72-19.21,0-26.39,1.97-21.36,17.32-36.17,39.4-36.17,8.17,0,16.78,2.06,22.44,4.85v-26.57c0-6.82,3.95-10.86,10.23-10.86s10.14,4.04,10.14,10.86ZM1033.97,225.87c6.91,0,15.53-2.06,19.83-5.11v-49c-4.31-3.05-12.93-5.12-19.83-5.12-13.37,0-20.73,7.99-21.81,19.75-.54,6.55-.45,13.82,0,19.74,1.08,11.76,8.44,19.75,21.81,19.75Z"/>%0A </g>%0A <g>%0A <path class="st1" d="M101.42,217.17c0-.64.07-1.63.14-2.2l10.87-76.46c1.71-12.01,7.53-15.85,15.92-15.85,7.53,0,13.29,3.13,15.56,15.14l14.57,67.86c.36,1.28.57,1.85,1.56,1.85,1.07,0,1.35-.57,1.63-1.92l14.5-67.79c2.27-12.01,7.96-15.14,15.49-15.14,8.46,0,14.21,3.84,15.85,15.92l10.87,76.04c.14,1.14.21,1.78.21,2.63,0,4.62-3.13,7.6-7.67,7.6-5.19,0-8.03-2.77-8.6-7.96l-9.59-75.11c-.21-1.49-.57-1.99-1.49-1.99-.78,0-1.21.36-1.49,1.71l-15.49,69.85c-1.92,9.17-6.75,13.5-14.36,13.5-8.1,0-12.44-4.41-14.43-13.57l-15.42-69.71c-.36-1.28-.78-1.78-1.42-1.78-.92,0-1.35.57-1.56,2.06l-9.38,75.04c-.64,5.26-3.41,7.96-8.24,7.96s-8.03-2.84-8.03-7.67Z"/>%0A <path class="st1" d="M90.62,131.29v84.42c0,5.54-3.2,8.88-8.24,8.88s-8.31-3.34-8.31-8.88v-84.42c0-5.54,3.27-8.88,8.31-8.88s8.24,3.34,8.24,8.88Z"/>%0A </g>%0A <g>%0A <path class="st0" d="M74.36,202.14c19.92.79,54.3-4.62,92.4-15.33,58-16.32,102.67-38.77,99.76-50.15-2-7.85-26.05-8.39-59.77-2.65,23.98-2.82,37.51-1.37,39.11,4.9,2.82,11.03-37.79,32.76-93.95,48.56-1.26.35-2.51.7-3.76,1.04,0,0,0,0-.01,0-13.29,3.95-50.37,13.62-73.78,13.62Z"/>%0A <path class="st0" d="M191.55,191.02c-13.03,4.75-27.19,9.32-42.09,13.5-70.38,19.79-130.56,23.59-134.41,8.48-2.65-10.4,20.1-26.01,58.76-41.85-26.73,12.73-38.09,24.13-35.96,32.45,3.73,14.63,59.37,10.95,127.5-8.22,36.59-10.29,68.58-22.95,89.79-34.73-9.63,6.73-23.48,14.01-40.32,21.2-4.91,2.44-18.07,7.34-23.28,9.16Z"/>%0A </g>%0A </g>%0A</svg>%0A)
Guayaquil, ECUADOR.- Se operaron en esta ciudad en Noviembre 26 y 27 del 2007 con cirugía natural orificiaria asistida híbrida con mini-laparoscopía por vía vaginal. Los pacientes padecían las siguientes patologías: una con colelitiasis, una con pólipo vesicular (más de 10 mm.) y la última con un quiste paraovárico izquierdo.
El equipo quirúrgico estuvo integrado por: el Dr.Néstor A. Gómez, FACS como cirujano abdominal y el Dr. César Cabezas como ginecólogo. También estuvieron como cirujanos asistentes los doctores Stanley Jama y Carlos R. Cassis. El cirujano supervisor de dicha operación fue el Dr. Daniel A. Tsin, Director del Dpto. de Cirugía Mínimamente Invasiva del Hospital Mount Sinai de Queens, New York. Las intervenciones quirúrgicas fueron realizadas por primera vez en el Ecuador (séptimo país en el mundo), en el Hospital Kennedy-Policentro- de Guayaquil, Ecuador que pertenece al Grupo Hospitalario Kennedy con donaciones de Olympus-USA (Elite Scope-Ecuador), Johnson & Johnson – Ethicon EndoSurgery(USA), Con Med (USA), Allen Medical Systems (USA) y Laboratorios Roemmers (Ecuador).
Los pacientes fueron dados de alta 24 horas posteriores a las operaciones sin complicaciones inmediatas.
Las 3 operaciones fueron aprobadas por el Comité MANOS/NOTES de la Sociedad Ecuatoriana de Cirugía Endoscópica, la Universidad de Guayaquil con su respectiva Facultad de Medicina y la administración y apoyo del Grupo Hospitalario Kennedy (equivalente IRB).